Organization
MD 1 CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALIH FALDON (PRESIDENT)
(678) 817-9255
Entity
Organization
Contact information
Practice address
101 BECKETT LN, SUITE 506, FAYETTEVILLE, GA 30214-7155
(678) 817-9255
Mailing address
101 BECKETT LANE, SUITE 506, FAYETTEVILLE, GA 30214
(678) 817-9255
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
53518
GA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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